…and services that support patient care delivery, and plan effective utilization of workforce, facilities and equipment. + Plans, prepares, implements, monitors

Summary The Utilization Review Nurse is responsible for evaluating the medical necessity and appropriateness of healthcare services and treatment as prescribed

…communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors utilization

…various other providers and support involved in the member's care. + Provides utilization review for preauthorization, concurrent and discharge reviews and post

…is preferred . BSN is preferred . Certification in Case Management, Nursing or Utilization Review is preferred HCA Florida North Florida Hospital is a 523-bed,

…Pay: $50 - $55/hour dependent on experience Preferred Qualifications: + Prior authorization/ utilization review experience. + Managed care experience. + Post

…ICD-9 classification and medical records organization if assigned duties in Utilization Review . Participates in Continuous Improvement activities by identifying

…patient and family decision making by providing educational tools. + Member of the Utilization Review team. + Call/email/chat for/to payors who may be denying a

…must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US

…care environment. They are responsible for prescription entry/interpretation, drug utilization review , preparation/compounding, and verification. Position is